剖宫产妇疼痛及产后康复的影响因素分析及临床干预
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江苏省卫生厅科技基金资助(JW-2013B-064)


Clinical intervention and factors of pain and postpartum recovery in puerpera with cesarean section
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    摘要:

    目的分析探讨影响剖宫产产妇疼痛及产后康复的影响因素,制定个体化的临床干预措施以减轻产妇的疼痛,促进产后康复。方法选择2014年1月~2015年9月期间来院就诊的并进行剖宫产的产妇190例为研究对象,分析其影响剖宫产产妇疼痛及产后康复的因素;将190例产妇随机分为观察组和对照组,各95例,对照组产妇给予常规的疼痛护理,观察组产妇在对照组常规的疼痛护理基础上进行临床干预,在剖宫产术后对两组产妇的疼痛程度分别进行评估比较,并同时对比观察记录两组产妇的排气、排便及泌乳的时间。结果影响剖宫产产妇疼痛及产后康复的因素主要是宫缩疼痛、产后伤口疼痛、乳房胀痛、肌肉酸痛、痔疮疼痛等,观察组产妇产后疼痛及排气、排便和泌乳的时间均显著少于对照组(P<0.05)。结论宫缩疼痛、产后伤口疼痛、乳房胀痛、肌肉酸痛、痔疮疼痛等是影响产妇剖宫产产后康复的主要因素,适当的对产妇采取个体化的临床干预措施能够有效的减轻产妇的疼痛感,同时还能促进产妇排气、排便以及泌乳,可在临床进一步推荐使用。

    Abstract:

    Objective To investigate the factors of pain and postpartum recovery in puerpera with cesarean section,and develop individualized clinical interventions to alleviate pain and promote maternal postpartum recovery.Methods190 puerperas with cesarean section were treated in our hospital from January 2014 to September 2015.The puerperas were randomly divided into observation group and control group,with 95 cases in each group.The control group was given conventional pain care,while the observation group was given individualized clinical intervention which was on the basis of conventional pain care.After cesarean section,the postpartum pain and the time of exhaust,defecation and lactation were compared between the two groups.Results The main factors that affect maternal postpartum recovery were uterine pain,postpartum wound pain,breast pain,muscle pain and hemorrhoids pain.The postpartum pain and the time of exhaust,defecation and lactation in observation group was significantly shorter than that in the control group(P<0.05).Conclusion The main factors that affect maternal postpartum recovery are uterine pain,postpartum wound pain,breast pain,muscle pain and hemorrhoids pain.To take appropriate individual clinical interventions can effectively reduce pain in puerpera with cesarean section and promote maternal exhaust,defecation and lactation.

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  • 在线发布日期: 2016-12-02
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